Driving Change: Using Emergency Department Data To Reduce Alcohol-related Harm
Funder
National Health and Medical Research Council
Funding Amount
$1,468,026.00
Summary
The proposed project is a system change within partner emergency departments, providing them the information and tools to act on both risky alcohol consumption in individual patients and the sources of alcohol in the community which cause the harm they experience. Most importantly, the proposed public health interventions act as a tool for emergency departments to regularly raise awareness with the public and policymakers regarding the impact of alcohol on patients, clinicians and hospitals.
The Australasian Resuscitation In Sepsis Evaluation - Randomised Controlled Trial - Continuation Funding Request
Funder
National Health and Medical Research Council
Funding Amount
$358,938.00
Summary
Early treatment with fluids, blood transfusions and stimulants, may improve survival rates of patients with severe infections. To determine whether this is safe and effective in reducing deaths, the Australian and New Zealand Intensive Care Society Clinical Trials Group and the Australasian College of Emergency Medicine are performing a large trial of early goal directed therapy in patients with severe infections. This grant will extend the study for an additional 2 years.
Out-of-hospital cardiac arrest is fatal without immediate resuscitation. Paramedic competency in resuscitation has been shown to influence cardiac arrest survival. Through my doctoral research I aim to investigate: how paramedic exposure to cardiac arrest can influence patient survival; the practices emergency medical services currently use to develop and maintain paramedic competency in resuscitation; and the confidence and perceived competency of paramedics responding to cardiac arrests.
Reduction Of Oxygen After Cardiac Arrest: The EXACT Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,891,021.00
Summary
We aim to conduct a Phase 3 multi-centre, randomised, controlled trial to determine whether reducing oxygen administration to target a normal level as soon as possible following successful resuscitation from out-of-hospital cardiac arrest, compared to current practice of maintaining 100% oxygen, improves patient survival at hospital discharge.
Centre Of Research Excellence In Prehospital Emergency Care
Funder
National Health and Medical Research Council
Funding Amount
$2,499,626.00
Summary
The Prehospital Emergency Care - Centre for Research Excellence (PEC-CRE) will build capacity in prehospital research in Australia through the conduct of collaborative research projects between academic researchers, clinicians and ambulance service providers. The overarching goal of the PEC-CRE will be to strengthen the evidence base underpinning prehospital emergency care policy and practice, to ensure that ambulance patients receive ‘the right care, in the right place, at the right time’.
Ambulance Diversion For Selected Emergency Conditions: Effect On Emergency Response Performance And Patient Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$302,123.00
Summary
Critically ill patients require rapid access to definitive care and delays in treatment may lead to poor outcomes. This study will examine the effect of ambulance diversion on outcomes for patients with selected emergency conditions e.g. heart attack, stroke and major trauma who are and are not directly transferred to tertiary centres. Ultimately, this research aims is to improve patient outcomes and improve emergency service performance.
A Randomised Control Trial Evaluating Outcomes Of An Emergency Nurse Practitioner Service.
Funder
National Health and Medical Research Council
Funding Amount
$83,149.00
Summary
This proposed research will provide much needed evidence on this reform model. Health services research struggles to establish an inquiry context that is flexible to study service-level interventions using the gold standard of a randomised controlled trail (RCT). This proposed research will be conducted in a health service environment with a stable E-NP service innovation and capacity to randomise patient participants.
The RINSE Trial: The Rapid Infusion Of Cold Normal SalinE By Paramedics During CPR
Funder
National Health and Medical Research Council
Funding Amount
$708,241.00
Summary
Sudden cardiac arrest is a common event in the community. Therapeutic hypothermia decreases the brain injury caused by the cardiac arrest and is currently used in the hospital after successful resuscitation. However, there may be better outcomes if the brain is cooled by paramedics during resuscitation. We will compare survival rates for those patients cooled early by paramedics using an infusion of ice-saline during cardiac arrest with those patients who are later cooled by the hospital.